<html>
<body>
<wicket:panel>
<div>
	<fieldset>
	<leyend><wicket:message key="clientInfoLeyend" >Leyend </wicket:message></leyend>
		<div>
			<label><wicket:message key="cuilCuit">Code</wicket:message>:</label>
			<input type="text" wicket:id="cuilCuit" />
		</div>
		<div>
			<label><wicket:message key="name">Name</wicket:message>:</label>
			<input type="text" wicket:id="name" />
		</div>
		<div>
			<label><wicket:message key="description">description</wicket:message>:</label>
			<input type="text" wicket:id="description" />
		</div>
		
		<div>
			<label><wicket:message key="email">email</wicket:message>:</label>
			<input type="text" wicket:id="email" />
		</div>
		
		<fieldset>
			<leyend><wicket:message key="clientInfoAddressLeyend" >Leyend </wicket:message></leyend>
			<div>
				<label><wicket:message key="street"></wicket:message>:</label>
				<input type="text" wicket:id="street" />
			</div>
			<div>
				<label><wicket:message key="number"></wicket:message>:</label>
				<input type="text" wicket:id="number" />
			</div>
			<div>
				<label><wicket:message key="department"></wicket:message>:</label>
				<input type="text" wicket:id="department" />
			</div>
			<div>
				<label><wicket:message key="city"></wicket:message>:</label>
				<input type="text" wicket:id="city" />
			</div>
			<div>
				<label><wicket:message key="province"></wicket:message>:</label>
				<input type="text" wicket:id="province" />
			</div>
			<div>
				<label><wicket:message key="postalCode"></wicket:message>:</label>
				<input type="text" wicket:id="postalCode" />
			</div>
			<div>
				<label><wicket:message key="country"></wicket:message>:</label>
				<input type="text" wicket:id="country" />
			</div>
		</fieldset>
		
		<fieldset>
			<leyend><wicket:message key="clientInfoTelephoneLeyend" >Leyend </wicket:message></leyend>
			<div>
				<label><wicket:message key="telephoneDescription"></wicket:message>:</label>
				<input type="text" wicket:id="countryCode" /> -
				<input type="text" wicket:id="areaCode" /> - 
				<input type="text" wicket:id="telephoneNumber" /> /  
				<input type="text" wicket:id="intern" /> 
			</div>
		</fieldset>
		
		<fieldset>
			<leyend><wicket:message key="clientInfoAlternativeLeyend" >Leyend </wicket:message></leyend>
			<div>
				<label><wicket:message key="telephoneDescription"></wicket:message>:</label>
				<input type="text" wicket:id="countryCodeAlternative" /> -
				<input type="text" wicket:id="areaCodeAlternative" /> - 
				<input type="text" wicket:id="telephoneNumberAlternative" /> / 
				<input type="text" wicket:id="internAlternative" /> 
			</div>
		</fieldset>
		
		<fieldset>
			<leyend><wicket:message key="clientInfoFaxLeyend" >Leyend </wicket:message></leyend>
			<div>
				<label><wicket:message key="telephoneDescription"></wicket:message>:</label>
				<input type="text" wicket:id="countryCodeFax" /> - 
				<input type="text" wicket:id="areaCodeFax" /> - 
				<input type="text" wicket:id="telephoneNumberFax" /> / 
				<input type="text" wicket:id="internFax" />
			</div>
		</fieldset>
		
		<fieldset>
			<leyend><wicket:message key="clientInfoCellphoneLeyend" >Leyend </wicket:message></leyend>
			<div>
				<label><wicket:message key="telephoneDescription"></wicket:message>:</label>
				<input type="text" wicket:id="countryCodeCellphone" /> - 
				<input type="text" wicket:id="areaCodeCellphone" /> - 
				<input type="text" wicket:id="telephoneNumberCellphone" /> / 
				<input type="text" wicket:id="internCellphone" />
			</div>
		</fieldset>
			
	</fieldset>
</div>
</wicket:panel>
</body>
</html>